Aro S, Kangas T, Reunanen A, Salinto M, Koivisto V
National Research & Development Centre for Welfare & Health, University of Helsinki, Finland.
Diabetes Care. 1994 Nov;17(11):1320-9. doi: 10.2337/diacare.17.11.1320.
This register-based linkage study compared hospital use among diabetic and nondiabetic populations. The study focused on overall use, use by disease categories, and inpatient care caused by complications.
The patient data were derived from the Hospital Discharge Register and the Central Drug Register in Finland. All drug-treated diabetic patients and discharges of patients in a 3-year period were included in the study. Hospital use was measured by inpatient days, mean length of stay, and discharge rate.
Among diabetic patients were eligible for drug reimbursement, 14.2% had at least one hospital stay because of diabetes in a year, while 50.7% had at least one hospital stay for any cause. Only 12.4% of the nondiabetic population was hospitalized annually. Patients with diabetes as the principal diagnosis consumed about 3% of all inpatient days; patients who had diabetes either as the principal or as a subsidiary diagnosis used 8.3%; and people who were eligible for antidiabetic drug reimbursement used 13.3% of total inpatient days. Among diabetic children, the risk for hospitalization was 6.5 times higher than among nondiabetic children. With advancing age, causes other than diabetes increasingly dominated hospitalization among diabetic patients. Inpatient days because of cardiovascular diseases were 1.6-18 times more common among diabetic patients than among nondiabetic patients, depending on gender and age-group. Diabetic patients used many more hospital inpatient days than did the nondiabetic population for a number of other disease categories that are usually not related to diabetes.
Hospital use among diabetic patients is substantially greater than that among the nondiabetic population, mainly because of cardiovascular and microvascular complications, but also because of diseases unrelated to diabetes.
这项基于登记册的关联研究比较了糖尿病患者和非糖尿病患者的医院利用情况。该研究聚焦于总体利用情况、按疾病类别划分的利用情况以及并发症导致的住院治疗。
患者数据源自芬兰的医院出院登记册和中央药品登记册。研究纳入了所有接受药物治疗的糖尿病患者以及3年内患者的出院情况。医院利用情况通过住院天数、平均住院时长和出院率来衡量。
在符合药物报销条件的糖尿病患者中，14.2%的患者一年中因糖尿病至少住院一次，而50.7%的患者因任何原因至少住院一次。非糖尿病人群中每年住院的比例仅为12.4%。以糖尿病作为主要诊断的患者占用了所有住院天数的约3%；以糖尿病作为主要或次要诊断的患者占用了8.3%；符合抗糖尿病药物报销条件的人群占用了总住院天数的13.3%。在糖尿病儿童中，住院风险比非糖尿病儿童高6.5倍。随着年龄增长，糖尿病患者中除糖尿病外的其他原因导致住院的情况日益增多。因心血管疾病导致的住院天数在糖尿病患者中比非糖尿病患者高1.6至18倍，具体取决于性别和年龄组。对于许多通常与糖尿病无关的其他疾病类别，糖尿病患者使用的医院住院天数比非糖尿病人群多得多。
糖尿病患者的医院利用情况显著高于非糖尿病人群，主要是由于心血管和微血管并发症，也由于与糖尿病无关的疾病。
